Exam (elaborations)
Nurs661 Maryville Test 3 – Questions With Detailed Solutions
Nurs661 Maryville Test 3 – Questions With Detailed Solutions
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Nurs661 Maryville Test 3 – Questions WithDetailed Solutions
How to assess for homicidal ideation ✔️Ans -Address the patient's
beliefs; do they want to harm someone else? do they have a plan to harm
someone? do they have the means to carry out the plan? Do they state that
they want to carry out the plan?
What area of the brain is most associated with violence ✔️Ans -Pre
frontal cortex
What personality disorder is most associated with self-harming behavior?
✔️Ans -Borderline personality disorder
Which symptom if not resolved is not often leads to suicide? ✔️Ans
-hopelessness
Be able to identify protective factors among patients at risk for suicide
✔️Ans -Internal: ability to cope with stress, religious beliefs, frustration
tolerance
External: responsibility to children or beloved pets, positive therapeutic
relationships, social supports
Know which symptoms if not resolved often lead to patients attempting
suicide ✔️Ans -
Know the difference between self-mutilation and suicidal gestures
✔️Ans -Intent differentiates the two. self mutilation is harming self without
intent to end life and suicidal gestures have the intent of ending life.
Know which medication has been linked to reducing suicidal ideation among
patients ✔️Ans -Lithium
What does lethality mean? ✔️Ans -the capacity to cause death or
serious harm or damage
What compulsion is most commonly seen in patients with OCD?
✔️Ans -checking
, Most common concern with body dysmorphic disorder? ✔️Ans -
facial flaws
What is an obsession? ✔️Ans -Intrusive thoughts- limited to the
mind
What is a compulsion? ✔️Ans -irrational behavior performed
repeatedly- involves action
What is the most common co-morbid psychiatric diagnosis associated with
OCD/ ✔️Ans -Major depressive disorder
Understand body dysmorphic disorder ✔️Ans -Preoccupation with
one or more perceived defects of flaws in physical appearance that are not
observable by or appear very mild to others
What is the first line treatment for hoarding disorder? ✔️Ans -CBT-
medication may be added to treat the depression and anxiety that may go
along with it
What are the basics of trichotilomania? ✔️Ans -occurs more in
females, relief/gratification from hair pulling, 30-40% eat hair, scalp most
common area; can be focused (intentional) or automatic (unintentional during
sedentary activities)
Be able to recognize anorexia nervous among male patients ✔️Ans
-Appearance: emaciated appearance with anorexia nervosa
Affect: lability, anxiety, constricted and sad
Mood: dysphoric mood
Thought content: preoccupation with food & body weight, suicidal ideation,
low self esteem
Concentration: decreased concentration
Judgement: impaired for self welfare
Insight: Impaired
What are the characteristics of REM sleep? ✔️Ans -a kind of sleep
that occurs at intervals during the night and is characterized by rapid eye
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